NPI | 1336644467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF000974) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001672) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-07-14 |